| NPI | 1538471743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA MD60577185) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60577185) |
| Enumeration Date | 2010-07-06 |
| Last Update Date | 2016-12-08 |